This study evaluates a quality improvement initiative and knowledge acquired from the implementation process and particularly the knowledge translation aspect may be broadly disseminated. Objectives: 1) To evaluate change in process indicators related to the rapid assessment and intervention for acute stroke pre and post implementation of the inpatient code stroke protocol. 2) To evaluate staff knowledge and retention pre and post intervention with respect to the signs and symptoms of acute stroke, key assessment criteria and, protocol for activation a code stroke.